俗話說(shuo)“百病(bing)(bing)(bing)(bing)皆為(wei)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)作(zuo)(zuo)祟”,作(zuo)(zuo)為(wei)最常(chang)見(jian)(jian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)因(yin)(yin)(yin)(yin)水(shui)(shui)(shui)(shui)濕(shi)(shi)(shi)(shi)(shi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)飲(yin),痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)這(zhe)(zhe)種病(bing)(bing)(bing)(bing)理(li)(li)(li)(li)產(chan)物(wu)(wu)在(zai)(zai)人(ren)的(de)(de)(de)(de)(de)(de)(de)(de)(de)身體里各(ge)(ge)處(chu)(chu)流竄,能(neng)(neng)引(yin)起多(duo)(duo)種疾(ji)病(bing)(bing)(bing)(bing)。靈蘭中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)宋(song)(song)(song)柏(bo)(bo)(bo)杉醫(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)在(zai)(zai)《張(zhang)錫純(chun)52效方(fang)(fang)(fang)心(xin)(xin)(xin)法求真(zhen)(zhen)》中(zhong)(zhong)(zhong)介紹了(le)(le)(le)(le)(le)(le)一(yi)(yi)(yi)(yi)(yi)張(zhang)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)絕妙(miao)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)方(fang)(fang)(fang) 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理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)。01、十來(lai)(lai)年(nian)沒(mei)化(hua)(hua)(hua)(hua)(hua)掉的(de)(de)(de)(de)(de)(de)(de)(de)(de)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan),吃(chi)這(zhe)(zhe)個(ge)(ge)(ge)(ge)方(fang)(fang)(fang)1周好了(le)(le)(le)(le)(le)(le)一(yi)(yi)(yi)(yi)(yi)半(ban)(ban)(ban)宋(song)(song)(song)柏(bo)(bo)(bo)杉:我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)講(jiang)一(yi)(yi)(yi)(yi)(yi)個(ge)(ge)(ge)(ge)病(bing)(bing)(bing)(bing)例,就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)附近小(xiao)區(qu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)。一(yi)(yi)(yi)(yi)(yi)個(ge)(ge)(ge)(ge)王(wang)姓(xing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)男子(zi),四(si)(si)十八(ba)歲(sui)(sui),長得(de)(de)也(ye)(ye)(ye)很(hen)壯實(shi)(shi)(shi),黑(hei)(hei)胖的(de)(de)(de)(de)(de)(de)(de)(de)(de)一(yi)(yi)(yi)(yi)(yi)個(ge)(ge)(ge)(ge)男性(xing)(xing),沒(mei)什么(me)(me)癥(zheng)(zheng)狀,他(ta)(ta)唯一(yi)(yi)(yi)(yi)(yi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)癥(zheng)(zheng)狀是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)什么(me)(me)呢,就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)多(duo)(duo)。咯一(yi)(yi)(yi)(yi)(yi)口(kou)就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)有(you)(you)(you)(you)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan),因(yin)(yin)(yin)(yin)為(wei)這(zhe)(zhe)件(jian)事(shi),給(gei)他(ta)(ta)心(xin)(xin)(xin)理(li)(li)(li)(li)造成(cheng)了(le)(le)(le)(le)(le)(le)很(hen)大(da)的(de)(de)(de)(de)(de)(de)(de)(de)(de)壓力(li)。為(wei)啥呢?你(ni)(ni)(ni)(ni)到(dao)哪(na)兒公(gong)共(gong)場合(he),你(ni)(ni)(ni)(ni)咳一(yi)(yi)(yi)(yi)(yi)口(kou)沒(mei)地(di)方(fang)(fang)(fang)吐,到(dao)人(ren)家做客,咳一(yi)(yi)(yi)(yi)(yi)口(kou),你(ni)(ni)(ni)(ni)說(shuo)吐吧,不(bu)(bu)(bu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi),不(bu)(bu)(bu)吐吧,咽了(le)(le)(le)(le)(le)(le)挺難受,因(yin)(yin)(yin)(yin)此(ci)(ci)(ci)上(shang)(shang)產(chan)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)了(le)(le)(le)(le)(le)(le)很(hen)大(da)的(de)(de)(de)(de)(de)(de)(de)(de)(de)壓力(li)。西(xi)(xi)(xi)醫(yi)(yi)(yi)呢,檢查(cha)也(ye)(ye)(ye)查(cha)不(bu)(bu)(bu)出來(lai)(lai)什么(me)(me),做痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)培養,這(zhe)(zhe)個(ge)(ge)(ge)(ge)菌那個(ge)(ge)(ge)(ge)菌的(de)(de)(de)(de)(de)(de)(de)(de)(de),最后(hou)也(ye)(ye)(ye)沒(mei)效。找中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao),中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)有(you)(you)(you)(you)二陳(chen)湯(tang)(tang)(tang)(tang)(tang)(tang),什么(me)(me)蒼附導痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)等(deng)等(deng),都(dou)(dou)(dou)用(yong)(yong)(yong)(yong)(yong)(yong)過(guo)。他(ta)(ta)拿了(le)(le)(le)(le)(le)(le)很(hen)厚一(yi)(yi)(yi)(yi)(yi)沓方(fang)(fang)(fang)子(zi)到(dao)我(wo)(wo)(wo)(wo)(wo)(wo)(wo)門診(zhen)(zhen)(zhen)來(lai)(lai),但是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)都(dou)(dou)(dou)沒(mei)有(you)(you)(you)(you)效。我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)看了(le)(le)(le)(le)(le)(le)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)后(hou)決定給(gei)他(ta)(ta)改,我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)用(yong)(yong)(yong)(yong)(yong)(yong)理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)加(jia)(jia)上(shang)(shang)了(le)(le)(le)(le)(le)(le)龍(long)骨(gu)牡蠣,也(ye)(ye)(ye)就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)說(shuo)我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)并沒(mei)有(you)(you)(you)(you)去芡(qian)(qian)(qian)(qian)(qian)實(shi)(shi)(shi),直接把(ba)龍(long)骨(gu)牡蠣加(jia)(jia)上(shang)(shang)了(le)(le)(le)(le)(le)(le)。吃(chi)了(le)(le)(le)(le)(le)(le)一(yi)(yi)(yi)(yi)(yi)周,痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)減少(shao)(shao)了(le)(le)(le)(le)(le)(le)一(yi)(yi)(yi)(yi)(yi)半(ban)(ban)(ban)。患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)復(fu)(fu)(fu)(fu)(fu)診(zhen)(zhen)(zhen)的(de)(de)(de)(de)(de)(de)(de)(de)(de)時(shi)(shi)(shi)候說(shuo),宋(song)(song)(song)老(lao)師,我(wo)(wo)(wo)(wo)(wo)(wo)(wo)吃(chi)了(le)(le)(le)(le)(le)(le)十來(lai)(lai)年(nian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)中(zhong)(zhong)(zhong)藥(yao)(yao),你(ni)(ni)(ni)(ni)這(zhe)(zhe)個(ge)(ge)(ge)(ge)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)最管事(shi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)。我(wo)(wo)(wo)(wo)(wo)(wo)(wo)說(shuo)你(ni)(ni)(ni)(ni)這(zhe)(zhe)個(ge)(ge)(ge)(ge)不(bu)(bu)(bu)能(neng)(neng)著急(ji)(ji),因(yin)(yin)(yin)(yin)為(wei)積病(bing)(bing)(bing)(bing)太久(jiu)了(le)(le)(le)(le)(le)(le),我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)的(de)(de)(de)(de)(de)(de)(de)(de)(de)經(jing)(jing)(jing)絡、氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)機(ji)都(dou)(dou)(dou)阻(zu)滯(zhi)住了(le)(le)(le)(le)(le)(le),得(de)(de)一(yi)(yi)(yi)(yi)(yi)點一(yi)(yi)(yi)(yi)(yi)點地(di)疏通,我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)把(ba)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)一(yi)(yi)(yi)(yi)(yi)點一(yi)(yi)(yi)(yi)(yi)點地(di)清(qing)(qing)理(li)(li)(li)(li)掉。我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)很(hen)多(duo)(duo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)急(ji)(ji)癥(zheng)(zheng),現在(zai)(zai)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)已(yi)經(jing)(jing)(jing)基本(ben)(ben)(ben)見(jian)(jian)不(bu)(bu)(bu)到(dao),稍(shao)稍(shao)有(you)(you)(you)(you)一(yi)(yi)(yi)(yi)(yi)點急(ji)(ji)性(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)上(shang)(shang)醫(yi)(yi)(yi)院(yuan)了(le)(le)(le)(le)(le)(le),在(zai)(zai)醫(yi)(yi)(yi)院(yuan)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)了(le)(le)(le)(le)(le)(le)很(hen)長時(shi)(shi)(shi)間(jian)(jian)再(zai)(zai)(zai)(zai)出來(lai)(lai),基本(ben)(ben)(ben)都(dou)(dou)(dou)到(dao)了(le)(le)(le)(le)(le)(le)慢性(xing)(xing)期,也(ye)(ye)(ye)就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)沒(mei)有(you)(you)(you)(you)那么(me)(me)快(kuai)的(de)(de)(de)(de)(de)(de)(de)(de)(de)一(yi)(yi)(yi)(yi)(yi)個(ge)(ge)(ge)(ge)原(yuan)因(yin)(yin)(yin)(yin)。后(hou)來(lai)(lai)這(zhe)(zhe)個(ge)(ge)(ge)(ge)患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)很(hen)堅持,堅持服(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)了(le)(le)(le)(le)(le)(le)兩個(ge)(ge)(ge)(ge)月(yue)(yue)(yue)(yue)(yue),然(ran)(ran)后(hou)徹底痊愈了(le)(le)(le)(le)(le)(le)。治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)了(le)(le)(le)(le)(le)(le)十來(lai)(lai)年(nian)都(dou)(dou)(dou)沒(mei)化(hua)(hua)(hua)(hua)(hua)掉的(de)(de)(de)(de)(de)(de)(de)(de)(de)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan),吃(chi)了(le)(le)(le)(le)(le)(le)理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)一(yi)(yi)(yi)(yi)(yi)周就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)好了(le)(le)(le)(le)(le)(le)一(yi)(yi)(yi)(yi)(yi)半(ban)(ban)(ban)。理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)到(dao)底是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)什么(me)(me)神(shen)(shen)仙方(fang)(fang)(fang),為(wei)什么(me)(me)化(hua)(hua)(hua)(hua)(hua)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)這(zhe)(zhe)么(me)(me)厲(li)害(hai)?02、理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang),為(wei)什么(me)(me)這(zhe)(zhe)么(me)(me)厲(li)害(hai)?理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)這(zhe)(zhe)個(ge)(ge)(ge)(ge)方(fang)(fang)(fang)出自(zi)(zi)張(zhang)錫純(chun)《醫(yi)(yi)(yi)學(xue)(xue)衷(zhong)中(zhong)(zhong)(zhong)參(can)西(xi)(xi)(xi)錄(lu)(lu)》,是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)重(zhong)(zhong)要方(fang)(fang)(fang)劑(ji)(ji)(ji)(ji)(ji)。原(yuan)方(fang)(fang)(fang):生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)芡(qian)(qian)(qian)(qian)(qian)實(shi)(shi)(shi)(一(yi)(yi)(yi)(yi)(yi)兩),清(qing)(qing)半(ban)(ban)(ban)夏(xia)(四(si)(si)錢),黑(hei)(hei)芝(zhi)(zhi)麻(ma)(ma)(ma)(三錢,炒(chao)搗(dao)),柏(bo)(bo)(bo)子(zi)仁(二錢,炒(chao)搗(dao)),生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)杭芍(shao)(shao)(shao)(二錢),陳(chen)皮(二錢),茯(fu)苓(ling)(ling)片(pian)(二錢)。張(zhang)錫純(chun)本(ben)(ben)(ben)人(ren)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)這(zhe)(zhe)么(me)(me)說(shuo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)——“世(shi)醫(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan),習用(yong)(yong)(yong)(yong)(yong)(yong)宋(song)(song)(song)《局方(fang)(fang)(fang)》二陳(chen)湯(tang)(tang)(tang)(tang)(tang)(tang),謂(wei)為(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)總劑(ji)(ji)(ji)(ji)(ji)。不(bu)(bu)(bu)知(zhi)二陳(chen)湯(tang)(tang)(tang)(tang)(tang)(tang)能(neng)(neng)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)標,不(bu)(bu)(bu)能(neng)(neng)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)(ben)。何者(zhe)(zhe)(zhe)(zhe)(zhe)?痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)標在(zai)(zai)胃(wei)(wei)(wei)(wei),痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)(ben)原(yuan)在(zai)(zai)于(yu)腎(shen)(shen)(shen)(shen)。腎(shen)(shen)(shen)(shen)主(zhu)閉藏,以(yi)(yi)(yi)(yi)(yi)(yi)膀胱為(wei)腑(fu)者(zhe)(zhe)(zhe)(zhe)(zhe)也(ye)(ye)(ye)。其(qi)(qi)(qi)(qi)閉藏之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)力(li),有(you)(you)(you)(you)時(shi)(shi)(shi)不(bu)(bu)(bu)固(gu),必(bi)注其(qi)(qi)(qi)(qi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)于(yu)膀胱。膀胱膨脹(zhang),不(bu)(bu)(bu)能(neng)(neng)空虛若谷(gu),即(ji)不(bu)(bu)(bu)能(neng)(neng)吸引(yin)胃(wei)(wei)(wei)(wei)中(zhong)(zhong)(zhong)水(shui)(shui)(shui)(shui)飲(yin),速于(yu)下(xia)行(xing)(xing)而(er)(er)(er)(er)(er)為(wei)小(xiao)便(bian)(bian),此(ci)(ci)(ci)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所(suo)由(you)來(lai)(lai)也(ye)(ye)(ye)。又(you)腎(shen)(shen)(shen)(shen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)上(shang)(shang)為(wei)血(xue)(xue)(xue)海,奇經(jing)(jing)(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)沖(chong)(chong)脈也(ye)(ye)(ye)。其(qi)(qi)(qi)(qi)脈上(shang)(shang)隸陽明(ming),下(xia)連(lian)(lian)少(shao)(shao)陰(yin)。為(wei)其(qi)(qi)(qi)(qi)下(xia)連(lian)(lian)少(shao)(shao)陰(yin)也(ye)(ye)(ye),故腎(shen)(shen)(shen)(shen)中(zhong)(zhong)(zhong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)化(hua)(hua)(hua)(hua)(hua)不(bu)(bu)(bu)攝(she),則(ze)沖(chong)(chong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)易(yi)于(yu)上(shang)(shang)干(gan)(gan)。為(wei)其(qi)(qi)(qi)(qi)上(shang)(shang)隸陽明(ming)也(ye)(ye)(ye),沖(chong)(chong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)(shang)干(gan)(gan),胃(wei)(wei)(wei)(wei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)亦(yi)多(duo)(duo)上(shang)(shang)逆(ni),不(bu)(bu)(bu)能(neng)(neng)息(xi)息(xi)下(xia)行(xing)(xing)以(yi)(yi)(yi)(yi)(yi)(yi)運化(hua)(hua)(hua)(hua)(hua)水(shui)(shui)(shui)(shui)飲(yin),此(ci)(ci)(ci)又(you)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所(suo)由(you)來(lai)(lai)也(ye)(ye)(ye)。”——張(zhang)錫純(chun)《醫(yi)(yi)(yi)學(xue)(xue)衷(zhong)中(zhong)(zhong)(zhong)參(can)西(xi)(xi)(xi)錄(lu)(lu)》原(yuan)來(lai)(lai)理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)理(li)(li)(li)(li)的(de)(de)(de)(de)(de)(de)(de)(de)(de)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)腎(shen)(shen)(shen)(shen)中(zhong)(zhong)(zhong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan),是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)理(li)(li)(li)(li)到(dao)了(le)(le)(le)(le)(le)(le)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)(ben)源啊!宋(song)(song)(song)柏(bo)(bo)(bo)杉老(lao)師在(zai)(zai)專(zhuan)題(ti)課《張(zhang)錫純(chun)52效方(fang)(fang)(fang)心(xin)(xin)(xin)法傳真(zhen)(zhen)》,用(yong)(yong)(yong)(yong)(yong)(yong)五(wu)大(da)臓(zang)象(xiang)法式為(wei)我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)詳細分析(xi)了(le)(le)(le)(le)(le)(le)這(zhe)(zhe)個(ge)(ge)(ge)(ge)方(fang)(fang)(fang)子(zi)。宋(song)(song)(song)柏(bo)(bo)(bo)杉:我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)的(de)(de)(de)(de)(de)(de)(de)(de)(de)臟腑(fu)和(he)水(shui)(shui)(shui)(shui)液代(dai)(dai)謝關(guan)系(xi)最密(mi)切的(de)(de)(de)(de)(de)(de)(de)(de)(de)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)哪(na)呢?是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)肺(fei)(fei)(fei)、脾(pi)(pi)(pi)(pi)胃(wei)(wei)(wei)(wei)和(he)腎(shen)(shen)(shen)(shen)。我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)學(xue)(xue)過(guo)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)基礎都(dou)(dou)(dou)知(zhi)道,肺(fei)(fei)(fei)主(zhu)通調水(shui)(shui)(shui)(shui)道,肺(fei)(fei)(fei)為(wei)水(shui)(shui)(shui)(shui)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)上(shang)(shang)源,腎(shen)(shen)(shen)(shen)為(wei)水(shui)(shui)(shui)(shui)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)下(xia)源,我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)所(suo)有(you)(you)(you)(you)的(de)(de)(de)(de)(de)(de)(de)(de)(de)飲(yin)食(shi)(shi)、水(shui)(shui)(shui)(shui)谷(gu),都(dou)(dou)(dou)要經(jing)(jing)(jing)過(guo)脾(pi)(pi)(pi)(pi)胃(wei)(wei)(wei)(wei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)運化(hua)(hua)(hua)(hua)(hua)和(he)代(dai)(dai)謝,因(yin)(yin)(yin)(yin)此(ci)(ci)(ci)我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)和(he)這(zhe)(zhe)幾大(da)臓(zang)器(qi)關(guan)系(xi)最為(wei)密(mi)切。那么(me)(me),我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)既然(ran)(ran)知(zhi)道,和(he)水(shui)(shui)(shui)(shui)關(guan)系(xi)最密(mi)切的(de)(de)(de)(de)(de)(de)(de)(de)(de)臓(zang)腑(fu)有(you)(you)(you)(you)肺(fei)(fei)(fei)、脾(pi)(pi)(pi)(pi)胃(wei)(wei)(wei)(wei)和(he)腎(shen)(shen)(shen)(shen),那么(me)(me)我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)按(an)照我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue)(xue)(xue)運行(xing)(xing)法式,把(ba)理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)藥(yao)(yao)物(wu)(wu)往上(shang)(shang)填一(yi)(yi)(yi)(yi)(yi)填,我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)看看怎么(me)(me)樣。我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)首先看這(zhe)(zhe)個(ge)(ge)(ge)(ge)君藥(yao)(yao),半(ban)(ban)(ban)夏(xia)降(jiang)(jiang)(jiang)(jiang)(jiang)胃(wei)(wei)(wei)(wei)化(hua)(hua)(hua)(hua)(hua)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)。我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)前面(mian)反(fan)復(fu)(fu)(fu)(fu)(fu)地(di)講(jiang),茯(fu)苓(ling)(ling)能(neng)(neng)夠利(li)(li)水(shui)(shui)(shui)(shui)健脾(pi)(pi)(pi)(pi),我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)利(li)(li)中(zhong)(zhong)(zhong)上(shang)(shang)焦的(de)(de)(de)(de)(de)(de)(de)(de)(de)水(shui)(shui)(shui)(shui),我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)把(ba)茯(fu)苓(ling)(ling)放在(zai)(zai)脾(pi)(pi)(pi)(pi)胃(wei)(wei)(wei)(wei)這(zhe)(zhe)塊。那么(me)(me)如果(guo)降(jiang)(jiang)(jiang)(jiang)(jiang)肺(fei)(fei)(fei),我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)會用(yong)(yong)(yong)(yong)(yong)(yong)什么(me)(me)?用(yong)(yong)(yong)(yong)(yong)(yong)白(bai)(bai)芍(shao)(shao)(shao),色白(bai)(bai)入肺(fei)(fei)(fei),再(zai)(zai)(zai)(zai)用(yong)(yong)(yong)(yong)(yong)(yong)陳(chen)皮收(shou)斂肺(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),讓(rang)(rang)肺(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)下(xia)降(jiang)(jiang)(jiang)(jiang)(jiang),讓(rang)(rang)水(shui)(shui)(shui)(shui)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)上(shang)(shang)源向下(xia)走(zou),變成(cheng)人(ren)的(de)(de)(de)(de)(de)(de)(de)(de)(de)真(zhen)(zhen)陰(yin)、真(zhen)(zhen)液。那么(me)(me)我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)腎(shen)(shen)(shen)(shen),我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)選用(yong)(yong)(yong)(yong)(yong)(yong)了(le)(le)(le)(le)(le)(le)芡(qian)(qian)(qian)(qian)(qian)實(shi)(shi)(shi)還有(you)(you)(you)(you)黑(hei)(hei)芝(zhi)(zhi)麻(ma)(ma)(ma)。我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)經(jing)(jing)(jing)常(chang)說(shuo)肺(fei)(fei)(fei)為(wei)儲痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)器(qi),脾(pi)(pi)(pi)(pi)胃(wei)(wei)(wei)(wei)為(wei)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)源,那么(me)(me)腎(shen)(shen)(shen)(shen)呢,為(wei)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)(ben),也(ye)(ye)(ye)就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)根,我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)要想(xiang)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan),就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)得(de)(de)把(ba)腎(shen)(shen)(shen)(shen)水(shui)(shui)(shui)(shui)納住,我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)要想(xiang)納住腎(shen)(shen)(shen)(shen)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),收(shou)納住腎(shen)(shen)(shen)(shen)水(shui)(shui)(shui)(shui),我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)用(yong)(yong)(yong)(yong)(yong)(yong)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)芡(qian)(qian)(qian)(qian)(qian)實(shi)(shi)(shi)。芡(qian)(qian)(qian)(qian)(qian)實(shi)(shi)(shi)這(zhe)(zhe)個(ge)(ge)(ge)(ge)東西(xi)(xi)(xi)很(hen)干(gan)(gan),你(ni)(ni)(ni)(ni)砸(za)開它(ta)(ta)很(hen)干(gan)(gan),是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)粉劑(ji)(ji)(ji)(ji)(ji)的(de)(de)(de)(de)(de)(de)(de)(de)(de),它(ta)(ta)就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)能(neng)(neng)夠把(ba)腎(shen)(shen)(shen)(shen)水(shui)(shui)(shui)(shui)吸住,因(yin)(yin)(yin)(yin)為(wei)它(ta)(ta)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)果(guo)實(shi)(shi)(shi)嘛,果(guo)實(shi)(shi)(shi)就(jiu)(jiu)(jiu)(jiu)(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)入腎(shen)(shen)(shen)(shen)的(de)(de)(de)(de)(de)(de)(de)(de)(de)。我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)前面(mian)反(fan)復(fu)(fu)(fu)(fu)(fu)講(jiang),干(gan)(gan)果(guo)都(dou)(dou)(dou)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)入腎(shen)(shen)(shen)(shen)的(de)(de)(de)(de)(de)(de)(de)(de)(de),這(zhe)(zhe)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)一(yi)(yi)(yi)(yi)(yi)個(ge)(ge)(ge)(ge)收(shou)斂。黑(hei)(hei)芝(zhi)(zhi)麻(ma)(ma)(ma)呢,補(bu)腎(shen)(shen)(shen)(shen)。柏(bo)(bo)(bo)子(zi)仁呢,是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)寧(ning)心(xin)(xin)(xin)安(an)(an)神(shen)(shen),放在(zai)(zai)心(xin)(xin)(xin)這(zhe)(zhe)兒。同時(shi)(shi)(shi)呢,柏(bo)(bo)(bo)子(zi)仁和(he)黑(hei)(hei)芝(zhi)(zhi)麻(ma)(ma)(ma)還能(neng)(neng)夠潤(run)(run)腸(chang),因(yin)(yin)(yin)(yin)為(wei)它(ta)(ta)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)果(guo)仁類(lei)的(de)(de)(de)(de)(de)(de)(de)(de)(de),又(you)富含(han)油性(xing)(xing),因(yin)(yin)(yin)(yin)此(ci)(ci)(ci)上(shang)(shang)它(ta)(ta)能(neng)(neng)夠潤(run)(run)大(da)腸(chang)、通便(bian)(bian)。大(da)腸(chang)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)管什么(me)(me)的(de)(de)(de)(de)(de)(de)(de)(de)(de),大(da)腸(chang)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)降(jiang)(jiang)(jiang)(jiang)(jiang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)(de)(de)(de)(de)(de)(de),氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)一(yi)(yi)(yi)(yi)(yi)降(jiang)(jiang)(jiang)(jiang)(jiang),痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)自(zi)(zi)然(ran)(ran)下(xia)降(jiang)(jiang)(jiang)(jiang)(jiang)。我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)綜合(he)來(lai)(lai)看,其(qi)(qi)(qi)(qi)實(shi)(shi)(shi)這(zhe)(zhe)里邊涵蓋了(le)(le)(le)(le)(le)(le)二陳(chen)湯(tang)(tang)(tang)(tang)(tang)(tang),要比二陳(chen)湯(tang)(tang)(tang)(tang)(tang)(tang)更加(jia)(jia)完善(shan)。03、理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)臨床怎么(me)(me)用(yong)(yong)(yong)(yong)(yong)(yong)?這(zhe)(zhe)兒有(you)(you)(you)(you)醫(yi)(yi)(yi)案四(si)(si)則(ze)張(zhang)錫純(chun)的(de)(de)(de)(de)(de)(de)(de)(de)(de)《醫(yi)(yi)(yi)學(xue)(xue)衷(zhong)中(zhong)(zhong)(zhong)參(can)西(xi)(xi)(xi)錄(lu)(lu)》被譽為(wei)“近代(dai)(dai)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)第一(yi)(yi)(yi)(yi)(yi)可(ke)法之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)書”,方(fang)(fang)(fang)子(zi)更是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)有(you)(you)(you)(you)“屢試屢效”之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)稱(cheng)。不(bu)(bu)(bu)僅宋(song)(song)(song)老(lao)師強烈推(tui)(tui)薦(jian),很(hen)多(duo)(duo)臨床大(da)夫也(ye)(ye)(ye)非(fei)常(chang)推(tui)(tui)崇~下(xia)面(mian)我(wo)(wo)(wo)(wo)(wo)(wo)(wo)們(men)(men)(men)(men)一(yi)(yi)(yi)(yi)(yi)起看看認為(wei)“本(ben)(ben)(ben)方(fang)(fang)(fang)構思巧妙(miao),療(liao)(liao)效奇佳(jia)”的(de)(de)(de)(de)(de)(de)(de)(de)(de)馮睿(rui)醫(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)運用(yong)(yong)(yong)(yong)(yong)(yong)理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)四(si)(si)則(ze)醫(yi)(yi)(yi)案:1、亞(ya)急(ji)(ji)性(xing)(xing)甲狀腺炎(yan)趙某(mou)(mou)(mou),女(nv),39歲(sui)(sui),2015年(nian)3月(yue)(yue)(yue)(yue)(yue)2日(ri)(ri)初(chu)(chu)(chu)診(zhen)(zhen)(zhen)。患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)于(yu)10天(tian)(tian)(tian)(tian)前受涼(liang)后(hou)出現發(fa)(fa)熱、咽痛(tong)癥(zheng)(zheng)狀,經(jing)(jing)(jing)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)后(hou)好轉。1周前出現頸(jing)部疼痛(tong),并彌(mi)漫(man)性(xing)(xing)腫大(da),且(qie)有(you)(you)(you)(you)明(ming)顯(xian)觸痛(tong)。頸(jing)部有(you)(you)(you)(you)壓迫感,聲音嘶啞。在(zai)(zai)內分泌科診(zhen)(zhen)(zhen)斷(duan)為(wei)亞(ya)急(ji)(ji)性(xing)(xing)甲狀腺炎(yan)。因(yin)(yin)(yin)(yin)其(qi)(qi)(qi)(qi)有(you)(you)(you)(you)嚴重(zhong)(zhong)胃(wei)(wei)(wei)(wei)潰(kui)瘍(yang)史,畏(wei)懼使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)糖皮質(zhi)激(ji)素等(deng)西(xi)(xi)(xi)藥(yao)(yao),故轉求中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)。診(zhen)(zhen)(zhen)見(jian)(jian):頸(jing)部腫痛(tong),情(qing)緒抑郁(yu),胸悶(men),脘(wan)脹(zhang),食(shi)(shi)欲減退(tui),舌質(zhi)黯,苔(tai)(tai)白(bai)(bai)膩(ni),脈弦(xian)數(shu)。血(xue)(xue)(xue)沉63mm/1h,T32.98nmoL(參(can)考值0.92~2.79nmo/L),T4:182.7 nmolL(參(can)考值55.5~161.3nmolL)。中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)診(zhen)(zhen)(zhen)斷(duan):癭病(bing)(bing)(bing)(bing),痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)交(jiao)阻(zu)。處(chu)(chu)方(fang)(fang)(fang):生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)芡(qian)(qian)(qian)(qian)(qian)實(shi)(shi)(shi)15g,清(qing)(qing)半(ban)(ban)(ban)夏(xia)、陳(chen)皮、山藥(yao)(yao)、黑(hei)(hei)芝(zhi)(zhi)麻(ma)(ma)(ma)各(ge)(ge)9g,白(bai)(bai)芍(shao)(shao)(shao)、茯(fu)苓(ling)(ling)、當(dang)歸、川芎、柏(bo)(bo)(bo)子(zi)仁各(ge)(ge)6g。每天(tian)(tian)(tian)(tian)1劑(ji)(ji)(ji)(ji)(ji),水(shui)(shui)(shui)(shui)煎,分2次(ci)服(fu)(fu)(fu)(fu)(fu)。服(fu)(fu)(fu)(fu)(fu)藥(yao)(yao)期間(jian)(jian),癥(zheng)(zheng)狀逐漸好轉,連(lian)(lian)續服(fu)(fu)(fu)(fu)(fu)藥(yao)(yao)20天(tian)(tian)(tian)(tian)后(hou),甲狀腺恢(hui)復(fu)(fu)(fu)(fu)(fu)正常(chang),全(quan)部癥(zheng)(zheng)狀、體征消失(shi),相(xiang)關(guan)理(li)(li)(li)(li)化(hua)(hua)(hua)(hua)(hua)檢查(cha)均已(yi)恢(hui)復(fu)(fu)(fu)(fu)(fu)正常(chang)。隨訪(fang)1年(nian),病(bing)(bing)(bing)(bing)情(qing)未(wei)再(zai)(zai)(zai)(zai)復(fu)(fu)(fu)(fu)(fu)發(fa)(fa)。按(an):患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)外感風寒(han)(han)起病(bing)(bing)(bing)(bing),肺(fei)(fei)(fei)失(shi)宣肅,釀生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)濕(shi)(shi)(shi)(shi)(shi);又(you)因(yin)(yin)(yin)(yin)其(qi)(qi)(qi)(qi)有(you)(you)(you)(you)胃(wei)(wei)(wei)(wei)潰(kui)瘍(yang)史,脾(pi)(pi)(pi)(pi)失(shi)健運,津(jin)(jin)(jin)液不(bu)(bu)(bu)化(hua)(hua)(hua)(hua)(hua),痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)濕(shi)(shi)(shi)(shi)(shi)內生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)。兩者(zhe)(zhe)(zhe)(zhe)(zhe)相(xiang)合(he),交(jiao)結頸(jing)部而(er)(er)(er)(er)(er)發(fa)(fa)癭病(bing)(bing)(bing)(bing)。治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)以(yi)(yi)(yi)(yi)(yi)(yi)理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)化(hua)(hua)(hua)(hua)(hua)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)為(wei)主(zhu),加(jia)(jia)山藥(yao)(yao)以(yi)(yi)(yi)(yi)(yi)(yi)健脾(pi)(pi)(pi)(pi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)(ben)。因(yin)(yin)(yin)(yin)現風寒(han)(han)已(yi)清(qing)(qing),故不(bu)(bu)(bu)再(zai)(zai)(zai)(zai)加(jia)(jia)解表之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)藥(yao)(yao)。因(yin)(yin)(yin)(yin)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)濕(shi)(shi)(shi)(shi)(shi)可(ke)阻(zu)礙氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue)(xue)(xue)運行(xing)(xing),而(er)(er)(er)(er)(er)舌質(zhi)黯己(ji)顯(xian)瘀(yu)血(xue)(xue)(xue)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)象(xiang),故再(zai)(zai)(zai)(zai)加(jia)(jia)當(dang)歸、川芎養血(xue)(xue)(xue)活(huo)血(xue)(xue)(xue)。共(gong)同起到(dao)化(hua)(hua)(hua)(hua)(hua)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)消癭活(huo)血(xue)(xue)(xue)的(de)(de)(de)(de)(de)(de)(de)(de)(de)功(gong)效。2、梅尼(ni)埃(ai)病(bing)(bing)(bing)(bing)張(zhang)某(mou)(mou)(mou),男,43歲(sui)(sui),2012年(nian)4月(yue)(yue)(yue)(yue)(yue)2日(ri)(ri)初(chu)(chu)(chu)診(zhen)(zhen)(zhen)。患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)2年(nian)來(lai)(lai)反(fan)復(fu)(fu)(fu)(fu)(fu)出現眩暈(yun),視物(wu)(wu)旋轉,伴嘔(ou)吐,耳鳴,聽(ting)力(li)減退(tui)。在(zai)(zai)外院(yuan)神(shen)(shen)經(jing)(jing)(jing)內科診(zhen)(zhen)(zhen)斷(duan)為(wei)梅尼(ni)埃(ai)病(bing)(bing)(bing)(bing),使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)了(le)(le)(le)(le)(le)(le)倍他(ta)(ta)司汀、山莨菪(dang)堿、地(di)芬(fen)尼(ni)多(duo)(duo)等(deng)藥(yao)(yao)物(wu)(wu),但只能(neng)(neng)有(you)(you)(you)(you)短暫療(liao)(liao)效。近半(ban)(ban)(ban)年(nian)來(lai)(lai),頻繁發(fa)(fa)作(zuo)(zuo),每月(yue)(yue)(yue)(yue)(yue)發(fa)(fa)作(zuo)(zuo)1~2次(ci)。診(zhen)(zhen)(zhen)見(jian)(jian):胸脘(wan)滿(man)悶(men),少(shao)(shao)食(shi)(shi)多(duo)(duo)寐(mei),大(da)便(bian)(bian)溏而(er)(er)(er)(er)(er)粘滯(zhi)。舌紅(hong)苔(tai)(tai)白(bai)(bai)膩(ni),脈濡緩。診(zhen)(zhen)(zhen)斷(duan):眩暈(yun),痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)濁中(zhong)(zhong)(zhong)阻(zu)。處(chu)(chu)方(fang)(fang)(fang):生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)芡(qian)(qian)(qian)(qian)(qian)實(shi)(shi)(shi)15g,清(qing)(qing)半(ban)(ban)(ban)夏(xia)、天(tian)(tian)(tian)(tian)麻(ma)(ma)(ma)、黑(hei)(hei)芝(zhi)(zhi)麻(ma)(ma)(ma)各(ge)(ge)9g,白(bai)(bai)芍(shao)(shao)(shao)、白(bai)(bai)術(shu)(shu)、茯(fu)苓(ling)(ling)、陳(chen)皮、石菖(chang)蒲各(ge)(ge)6g。每天(tian)(tian)(tian)(tian)1劑(ji)(ji)(ji)(ji)(ji),水(shui)(shui)(shui)(shui)煎,分2次(ci)服(fu)(fu)(fu)(fu)(fu)。服(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)5劑(ji)(ji)(ji)(ji)(ji)后(hou)感覺全(quan)身輕松,神(shen)(shen)清(qing)(qing)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)爽(shuang),胸脘(wan)再(zai)(zai)(zai)(zai)無(wu)滿(man)悶(men),食(shi)(shi)欲改善(shan)。后(hou)連(lian)(lian)服(fu)(fu)(fu)(fu)(fu)30劑(ji)(ji)(ji)(ji)(ji),諸癥(zheng)(zheng)消失(shi)。隨訪(fang)1年(nian),眩暈(yun)再(zai)(zai)(zai)(zai)無(wu)發(fa)(fa)作(zuo)(zuo)。按(an):本(ben)(ben)(ben)病(bing)(bing)(bing)(bing)遷延日(ri)(ri)久(jiu),患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)腎(shen)(shen)(shen)(shen)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)已(yi)衰,不(bu)(bu)(bu)能(neng)(neng)蒸(zheng)化(hua)(hua)(hua)(hua)(hua)津(jin)(jin)(jin)液,痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)濕(shi)(shi)(shi)(shi)(shi)內生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)。同時(shi)(shi)(shi),患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)又(you)有(you)(you)(you)(you)脘(wan)悶(men)、少(shao)(shao)食(shi)(shi)、多(duo)(duo)寐(mei)、便(bian)(bian)溏等(deng)脾(pi)(pi)(pi)(pi)失(shi)健運之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)象(xiang),水(shui)(shui)(shui)(shui)谷(gu)津(jin)(jin)(jin)液不(bu)(bu)(bu)化(hua)(hua)(hua)(hua)(hua),釀生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)濕(shi)(shi)(shi)(shi)(shi)。痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)濕(shi)(shi)(shi)(shi)(shi)上(shang)(shang)蒙清(qing)(qing)竅(qiao),清(qing)(qing)陽不(bu)(bu)(bu)升,濁陰(yin)不(bu)(bu)(bu)降(jiang)(jiang)(jiang)(jiang)(jiang),而(er)(er)(er)(er)(er)發(fa)(fa)眩暈(yun)。故以(yi)(yi)(yi)(yi)(yi)(yi)理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)補(bu)腎(shen)(shen)(shen)(shen)降(jiang)(jiang)(jiang)(jiang)(jiang)逆(ni),治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)(ben),加(jia)(jia)山藥(yao)(yao)、白(bai)(bai)術(shu)(shu)以(yi)(yi)(yi)(yi)(yi)(yi)健脾(pi)(pi)(pi)(pi),另(ling)加(jia)(jia)石菖(chang)蒲豁痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)開竅(qiao),化(hua)(hua)(hua)(hua)(hua)濕(shi)(shi)(shi)(shi)(shi)和(he)胃(wei)(wei)(wei)(wei)。痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)濕(shi)(shi)(shi)(shi)(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)源清(qing)(qing),則(ze)眩暈(yun)自(zi)(zi)止矣。3、病(bing)(bing)(bing)(bing)毒(du)性(xing)(xing)心(xin)(xin)(xin)肌炎(yan)葉某(mou)(mou)(mou),男,21歲(sui)(sui),2015年(nian)11月(yue)(yue)(yue)(yue)(yue)8日(ri)(ri)初(chu)(chu)(chu)診(zhen)(zhen)(zhen)。患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)于(yu)半(ban)(ban)(ban)月(yue)(yue)(yue)(yue)(yue)前外感發(fa)(fa)熱,經(jing)(jing)(jing)西(xi)(xi)(xi)醫(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)后(hou)好轉。6天(tian)(tian)(tian)(tian)前出現心(xin)(xin)(xin)慌胸悶(men),頭(tou)暈(yun),夜(ye)寐(mei)不(bu)(bu)(bu)安(an)(an)。西(xi)(xi)(xi)醫(yi)(yi)(yi)診(zhen)(zhen)(zhen)斷(duan):病(bing)(bing)(bing)(bing)毒(du)性(xing)(xing)心(xin)(xin)(xin)肌炎(yan)。經(jing)(jing)(jing)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)效果(guo)欠佳(jia)。診(zhen)(zhen)(zhen)見(jian)(jian):形體肥胖,嘔(ou)惡(e)食(shi)(shi)少(shao)(shao),多(duo)(duo)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan),心(xin)(xin)(xin)煩不(bu)(bu)(bu)安(an)(an),舌紅(hong),苔(tai)(tai)黃(huang)膩(ni),脈結代(dai)(dai)。動態心(xin)(xin)(xin)電圖(tu)示(shi)(shi)(shi):頻發(fa)(fa)房(fang)(fang)性(xing)(xing)期前收(shou)縮。24h房(fang)(fang)性(xing)(xing)期前收(shou)縮共(gong)13586次(ci)。中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)診(zhen)(zhen)(zhen)斷(duan):心(xin)(xin)(xin)悸,痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)火(huo)內擾(rao)。處(chu)(chu)方(fang)(fang)(fang):生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)龍(long)骨(gu)、生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)牡蠣各(ge)(ge)15g,清(qing)(qing)半(ban)(ban)(ban)夏(xia)、生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)芡(qian)(qian)(qian)(qian)(qian)實(shi)(shi)(shi)、黃(huang)連(lian)(lian)、黑(hei)(hei)芝(zhi)(zhi)麻(ma)(ma)(ma)各(ge)(ge)9g,白(bai)(bai)芍(shao)(shao)(shao)、茯(fu)苓(ling)(ling)、陳(chen)皮、柏(bo)(bo)(bo)子(zi)仁各(ge)(ge)6g。每天(tian)(tian)(tian)(tian)1劑(ji)(ji)(ji)(ji)(ji),水(shui)(shui)(shui)(shui)煎,分2次(ci)服(fu)(fu)(fu)(fu)(fu)。二診(zhen)(zhen)(zhen):服(fu)(fu)(fu)(fu)(fu)藥(yao)(yao)7劑(ji)(ji)(ji)(ji)(ji)后(hou)已(yi)無(wu)明(ming)顯(xian)心(xin)(xin)(xin)慌感,覺睡眠欠佳(jia),加(jia)(jia)酸棗仁9g,再(zai)(zai)(zai)(zai)服(fu)(fu)(fu)(fu)(fu)7劑(ji)(ji)(ji)(ji)(ji)。三診(zhen)(zhen)(zhen):自(zi)(zi)覺無(wu)不(bu)(bu)(bu)適(shi)感,復(fu)(fu)(fu)(fu)(fu)查(cha)動態心(xin)(xin)(xin)電圖(tu)示(shi)(shi)(shi):24h房(fang)(fang)性(xing)(xing)期前收(shou)縮16次(ci)。隨訪(fang)1年(nian),病(bing)(bing)(bing)(bing)情(qing)未(wei)再(zai)(zai)(zai)(zai)復(fu)(fu)(fu)(fu)(fu)發(fa)(fa)。按(an):本(ben)(ben)(ben)例患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)因(yin)(yin)(yin)(yin)平素膏粱厚味,又(you)疏于(yu)運動,而(er)(er)(er)(er)(er)致脾(pi)(pi)(pi)(pi)腎(shen)(shen)(shen)(shen)不(bu)(bu)(bu)足,宿痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)內伏。此(ci)(ci)(ci)次(ci)為(wei)外感引(yin)發(fa)(fa),痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)濕(shi)(shi)(shi)(shi)(shi)郁(yu)而(er)(er)(er)(er)(er)化(hua)(hua)(hua)(hua)(hua)火(huo),火(huo)引(yin)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)行(xing)(xing),上(shang)(shang)干(gan)(gan)心(xin)(xin)(xin)神(shen)(shen),故心(xin)(xin)(xin)悸。以(yi)(yi)(yi)(yi)(yi)(yi)理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)(ben);加(jia)(jia)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)龍(long)骨(gu)、生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)牡蠣寧(ning)心(xin)(xin)(xin)固(gu)腎(shen)(shen)(shen)(shen),安(an)(an)神(shen)(shen)清(qing)(qing)熱;以(yi)(yi)(yi)(yi)(yi)(yi)黃(huang)連(lian)(lian)清(qing)(qing)心(xin)(xin)(xin)瀉(xie)火(huo);以(yi)(yi)(yi)(yi)(yi)(yi)酸棗仁、柏(bo)(bo)(bo)子(zi)仁寧(ning)心(xin)(xin)(xin)神(shen)(shen),補(bu)心(xin)(xin)(xin)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)。標本(ben)(ben)(ben)同治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)消火(huo)清(qing)(qing),功(gong)效立見(jian)(jian)。本(ben)(ben)(ben)病(bing)(bing)(bing)(bing)當(dang)囑(zhu)患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)節飲(yin)食(shi)(shi),適(shi)當(dang)運動,增強體質(zhi),并避風寒(han)(han),以(yi)(yi)(yi)(yi)(yi)(yi)斷(duan)病(bing)(bing)(bing)(bing)源,方(fang)(fang)(fang)能(neng)(neng)阻(zu)其(qi)(qi)(qi)(qi)復(fu)(fu)(fu)(fu)(fu)發(fa)(fa)。4、男性(xing)(xing)不(bu)(bu)(bu)育少(shao)(shao)精(jing)癥(zheng)(zheng)楊某(mou)(mou)(mou),男,32歲(sui)(sui),2013年(nian)3月(yue)(yue)(yue)(yue)(yue)17日(ri)(ri)初(chu)(chu)(chu)診(zhen)(zhen)(zhen)。患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)結婚2年(nian),性(xing)(xing)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)活(huo)正常(chang),未(wei)采取避孕措施,而(er)(er)(er)(er)(er)女(nv)方(fang)(fang)(fang)未(wei)孕。已(yi)排除女(nv)方(fang)(fang)(fang)問題(ti)。曾多(duo)(duo)處(chu)(chu)求治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。診(zhen)(zhen)(zhen)斷(duan):少(shao)(shao)精(jing)癥(zheng)(zheng)。間(jian)(jian)斷(duan)采用(yong)(yong)(yong)(yong)(yong)(yong)各(ge)(ge)類(lei)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao),未(wei)見(jian)(jian)療(liao)(liao)效。診(zhen)(zhen)(zhen)見(jian)(jian):精(jing)神(shen)(shen)疲憊(bei),面(mian)色無(wu)華(hua),形體肥胖,脘(wan)悶(men)納呆(dai),肢(zhi)體困重(zhong)(zhong)。舌淡苔(tai)(tai)白(bai)(bai)滑,脈沉緩。精(jing)液常(chang)規(gui)示(shi)(shi)(shi):精(jing)子(zi)密(mi)度(du)為(wei)12×10/mL,液化(hua)(hua)(hua)(hua)(hua)時(shi)(shi)(shi)間(jian)(jian)大(da)于(yu)30min。泌尿系(xi)統B超未(wei)見(jian)(jian)異常(chang)。中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)診(zhen)(zhen)(zhen)斷(duan):不(bu)(bu)(bu)育癥(zheng)(zheng),痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)濕(shi)(shi)(shi)(shi)(shi)內阻(zu)。處(chu)(chu)方(fang)(fang)(fang):生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)芡(qian)(qian)(qian)(qian)(qian)實(shi)(shi)(shi)、淫羊(yang)藿(huo)各(ge)(ge)15g,清(qing)(qing)半(ban)(ban)(ban)夏(xia)、黑(hei)(hei)芝(zhi)(zhi)麻(ma)(ma)(ma)各(ge)(ge)9g,白(bai)(bai)芍(shao)(shao)(shao)、白(bai)(bai)術(shu)(shu)、茯(fu)苓(ling)(ling)、陳(chen)皮、柏(bo)(bo)(bo)子(zi)仁各(ge)(ge)6g。每天(tian)(tian)(tian)(tian)1劑(ji)(ji)(ji)(ji)(ji),水(shui)(shui)(shui)(shui)煎,分2次(ci)服(fu)(fu)(fu)(fu)(fu)。服(fu)(fu)(fu)(fu)(fu)藥(yao)(yao)2周,自(zi)(zi)覺精(jing)神(shen)(shen)轉佳(jia),食(shi)(shi)欲好轉。3月(yue)(yue)(yue)(yue)(yue)后(hou),復(fu)(fu)(fu)(fu)(fu)查(cha)精(jing)液常(chang)規(gui)已(yi)恢(hui)復(fu)(fu)(fu)(fu)(fu)正常(chang)。再(zai)(zai)(zai)(zai)過(guo)3月(yue)(yue)(yue)(yue)(yue),患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)來(lai)(lai)報,妻子(zi)已(yi)懷孕。按(an):本(ben)(ben)(ben)病(bing)(bing)(bing)(bing)為(wei)患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)脾(pi)(pi)(pi)(pi)腎(shen)(shen)(shen)(shen)不(bu)(bu)(bu)足,不(bu)(bu)(bu)能(neng)(neng)運化(hua)(hua)(hua)(hua)(hua)津(jin)(jin)(jin)液,水(shui)(shui)(shui)(shui)濕(shi)(shi)(shi)(shi)(shi)聚而(er)(er)(er)(er)(er)為(wei)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan),流竄經(jing)(jing)(jing)絡,擾(rao)亂精(jing)室而(er)(er)(er)(er)(er)致。腎(shen)(shen)(shen)(shen)為(wei)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)(ben),理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)著重(zhong)(zhong)于(yu)腎(shen)(shen)(shen)(shen),本(ben)(ben)(ben)方(fang)(fang)(fang)加(jia)(jia)淫羊(yang)藿(huo)以(yi)(yi)(yi)(yi)(yi)(yi)助(zhu)溫(wen)腎(shen)(shen)(shen)(shen)補(bu)精(jing),加(jia)(jia)白(bai)(bai)術(shu)(shu)以(yi)(yi)(yi)(yi)(yi)(yi)健脾(pi)(pi)(pi)(pi)。腎(shen)(shen)(shen)(shen)脾(pi)(pi)(pi)(pi)陽氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)充沛,氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)行(xing)(xing)則(ze)津(jin)(jin)(jin)液行(xing)(xing),而(er)(er)(er)(er)(er)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)濕(shi)(shi)(shi)(shi)(shi)自(zi)(zi)化(hua)(hua)(hua)(hua)(hua),精(jing)室得(de)(de)復(fu)(fu)(fu)(fu)(fu)。此(ci)(ci)(ci)類(lei)疾(ji)患(huan)只要辨證(zheng)準確,使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)理(li)(li)(li)(li)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)湯(tang)(tang)(tang)(tang)(tang)(tang)加(jia)(jia)減大(da)多(duo)(duo)有(you)(you)(you)(you)效,但因(yin)(yin)(yin)(yin)不(bu)(bu)(bu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)清(qing)(qing)一(yi)(yi)(yi)(yi)(yi)時(shi)(shi)(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)濕(shi)(shi)(shi)(shi)(shi)而(er)(er)(er)(er)(er)能(neng)(neng)奏功(gong),故服(fu)(fu)(fu)(fu)(fu)藥(yao)(yao)時(shi)(shi)(shi)間(jian)(jian)必(bi)得(de)(de)數(shu)月(yue)(yue)(yue)(yue)(yue)以(yi)(yi)(yi)(yi)(yi)(yi)上(shang)(shang),須讓(rang)(rang)患(huan)者(zhe)(zhe)(zhe)(zhe)(zhe)適(shi)當(dang)運動,合(he)理(li)(li)(li)(li)房(fang)(fang)事(shi),不(bu)(bu)(bu)要急(ji)(ji)于(yu)求成(cheng),以(yi)(yi)(yi)(yi)(yi)(yi)免中(zhong)(zhong)(zhong)途而(er)(er)(er)(er)(er)廢。編(bian)者(zhe)(zhe)(zhe)(zhe)(zhe)注:《醫(yi)(yi)(yi)學(xue)(xue)衷(zhong)中(zhong)(zhong)(zhong)參(can)西(xi)(xi)(xi)錄(lu)(lu)》對方(fang)(fang)(fang)義(yi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)解釋摘錄(lu)(lu)如下(xia)供參(can)考:“此(ci)(ci)(ci)方(fang)(fang)(fang)以(yi)(yi)(yi)(yi)(yi)(yi)半(ban)(ban)(ban)夏(xia)為(wei)君,以(yi)(yi)(yi)(yi)(yi)(yi)降(jiang)(jiang)(jiang)(jiang)(jiang)沖(chong)(chong)胃(wei)(wei)(wei)(wei)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)逆(ni)。即(ji)重(zhong)(zhong)用(yong)(yong)(yong)(yong)(yong)(yong)芡(qian)(qian)(qian)(qian)(qian)實(shi)(shi)(shi),以(yi)(yi)(yi)(yi)(yi)(yi)收(shou)斂沖(chong)(chong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),更以(yi)(yi)(yi)(yi)(yi)(yi)收(shou)斂腎(shen)(shen)(shen)(shen)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),而(er)(er)(er)(er)(er)厚其(qi)(qi)(qi)(qi)閉藏之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)力(li)。腎(shen)(shen)(shen)(shen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)化(hua)(hua)(hua)(hua)(hua)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),膀胱與沖(chong)(chong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)化(hua)(hua)(hua)(hua)(hua)自(zi)(zi)無(wu)不(bu)(bu)(bu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)(ben)原(yuan)清(qing)(qing)矣。用(yong)(yong)(yong)(yong)(yong)(yong)芝(zhi)(zhi)麻(ma)(ma)(ma)、柏(bo)(bo)(bo)實(shi)(shi)(shi)者(zhe)(zhe)(zhe)(zhe)(zhe),潤(run)(run)半(ban)(ban)(ban)夏(xia)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)燥,兼能(neng)(neng)助(zhu)芡(qian)(qian)(qian)(qian)(qian)實(shi)(shi)(shi)補(bu)腎(shen)(shen)(shen)(shen)也(ye)(ye)(ye)。用(yong)(yong)(yong)(yong)(yong)(yong)芍(shao)(shao)(shao)藥(yao)(yao)、茯(fu)苓(ling)(ling)者(zhe)(zhe)(zhe)(zhe)(zhe),一(yi)(yi)(yi)(yi)(yi)滋陰(yin)以(yi)(yi)(yi)(yi)(yi)(yi)利(li)(li)小(xiao)便(bian)(bian),一(yi)(yi)(yi)(yi)(yi)淡滲以(yi)(yi)(yi)(yi)(yi)(yi)利(li)(li)小(xiao)便(bian)(bian)也(ye)(ye)(ye)。用(yong)(yong)(yong)(yong)(yong)(yong)陳(chen)皮者(zhe)(zhe)(zhe)(zhe)(zhe),非(fei)籍其(qi)(qi)(qi)(qi)化(hua)(hua)(hua)(hua)(hua)痰(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)(tan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)力(li),實(shi)(shi)(shi)籍其(qi)(qi)(qi)(qi)行(xing)(xing)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)力(li),佐半(ban)(ban)(ban)夏(xia)以(yi)(yi)(yi)(yi)(yi)(yi)降(jiang)(jiang)(jiang)(jiang)(jiang)逆(ni)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),并以(yi)(yi)(yi)(yi)(yi)(yi)行(xing)(xing)芡(qian)(qian)(qian)(qian)(qian)實(shi)(shi)(shi)、芝(zhi)(zhi)麻(ma)(ma)(ma)、柏(bo)(bo)(bo)實(shi)(shi)(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)滯(zhi)膩(ni)也(ye)(ye)(ye)。”提示(shi)(shi)(shi):本(ben)(ben)(ben)文(wen)源于(yu)網絡,文(wen)中(zhong)(zhong)(zhong)處(chu)(chu)方(fang)(fang)(fang),請在(zai)(zai)專(zhuan)業中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)指導下(xia)辯證(zheng)使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)。
原理,摘錄如下:
世醫治痰,習用宋《局方》二陳湯, 謂為治痰之總劑。不知二陳湯能治痰之標,不能治痰之本,何者?痰之標在胃,痰之本原在于腎。腎主閉藏,以膀胱為腑者也。其閉藏之力,有時不固,必注其氣于膀胱。膀胱膨脹,不能空虛若谷,即不能吸引胃中水飲,速于下行而為小便,此痰之由來也。又腎之上為血海,奇經之沖脈也。其脈上隸陽明,下連少陰。為其下連少陰也,故腎中氣化不攝,則沖氣易于上干。為其上隸陽明也,沖氣上干,胃氣亦多上逆,不能息息下行以運化水飲,此又痰之所由來也。
此方以半夏為君,以降沖胃之逆。即重用芡實,以收斂沖氣,更以收斂腎氣,而厚其閉藏之力。腎之氣化治,膀胱與沖之氣化自勿不治,痰之本原清矣。用脂麻、柏實者,潤半夏之燥,兼能助芡實補腎也。用芍藥、茯苓者,一滋陰以利小便;一淡滲以利小便也。用陳皮者,非藉其化痰之力,實藉其性氣之力,佐半夏以降逆氣,并以行芡實、脂麻、柏實之滯膩也。
需要注意的是,芡實最好隔夜浸泡,不然不容易煮透; 茯苓浸泡后切片,不然也是不易煮透; 半夏也是,浸泡后切片,捏碎,買回來的清半夏用舌頭舔一下,若有礬味,沖幾下; 柏子仁與黑芝麻要炒搗。
我到海邊送夕陽
2020.1.5
痰可隨氣(qi)而行(xing),全身上下(xia)內(nei)外無(wu)所不至,易可以(yi)上壅塞于清竅(qiao)(qiao),耳(er)朵就(jiu)會氣(qi)機不通,一則(ze)導致氣(qi)血(xue)津液不能濡養(yang)耳(er)竅(qiao)(qiao),二(er)則(ze)痰郁耳(er)中易化(hua)火(huo),燔灼(zhuo)耳(er)竅(qiao)(qiao), 繼(ji)而出現耳(er)鳴,聽力下(xia)降(jiang)。
但是事(shi)實上,因痰濕瘀滯導致耳鳴耳聾,往往在(zai)治痰方面(mian)收(shou)效甚微,而且(qie)痰濕還容易卷土而來,這是為何?
中醫認為, 肺為貯痰之器,脾為生痰之源 。但是現在看了張錫純(近代中國中醫學界泰斗)的文章,這句話后面還要加上一句: 腎為生痰之根。
這三句話意思是(shi)什么(me)呢(ni)?肺只不(bu)過是(shi)存儲(chu)痰(tan)(tan)的容器(qi)罷(ba)了,痰(tan)(tan)的源頭在(zai)脾(pi),但生(sheng)痰(tan)(tan)的根本在(zai)腎,所以(yi)化痰(tan)(tan)治肺是(shi)治標,治脾(pi)是(shi)治源頭,治腎才是(shi)治根本。
腎(shen)(shen)是(shi)先天之(zhi)本,就好比大樹(shu)的根,根傷(shang)了(le)全部都會(hui)(hui)傷(shang),一損俱損!所以腎(shen)(shen)虛一定會(hui)(hui)脾虛,脾虛就會(hui)(hui)生痰(tan)。另外,腎(shen)(shen)是(shi)水臟,腎(shen)(shen)主水,腎(shen)(shen)五行屬水,腎(shen)(shen)虛了(le),身(shen)體的水濕就會(hui)(hui)多了(le),自然(ran)就會(hui)(hui)痰(tan)多了(le)。
所以醫術(shu)非常高超的(de)大夫才會想到從腎上來化痰,開辟了治痰新思路,張錫純開出了一(yi)個從腎上化痰的(de)方子理痰湯:
生芡實、清半夏、炒黑芝麻、炒柏子仁、白芍、陳皮、茯苓 。
其(qi)實,這個理痰湯里面(mian)就有千古(gu)第一(yi)化痰方二陳湯,只是少了(le)一(yi)味甘草。
我們先來(lai)(lai)看(kan)看(kan)二(er)陳湯是如何(he)化(hua)(hua)痰的(de)呢?陳皮辛散芳香,可以理(li)氣(qi)化(hua)(hua)痰,氣(qi)行則痰消;茯(fu)苓則是健脾(pi)祛濕(shi)的(de),通過祛濕(shi)來(lai)(lai)化(hua)(hua)痰,濕(shi)氣(qi)沒了痰自然就會少了。
為了(le)協助茯(fu)苓,還加了(le)一味藥白(bai)芍(shao),這(zhe)(zhe)里白(bai)芍(shao)不(bu)僅(jin)可以(yi)柔肝養(yang)血,還有一個功效就是利水(shui),黏稠的痰被化掉后(hou)就會(hui)變成(cheng)水(shui)濕,這(zhe)(zhe)個水(shui)濕一定要排(pai)出去的,不(bu)排(pai)出去又會(hui)凝結成(cheng)痰。如何(he)排(pai)出去呢(ni)?自然就是利水(shui)。茯(fu)苓配白(bai)芍(shao)一用上去,小(xiao)便就會(hui)增多,身(shen)體的痰濕就會(hui)隨著(zhu)小(xiao)便一去不(bu)復(fu)返。
好,接下來是重點(dian),張(zhang)錫(xi)純用了三味藥:芡(qian)實、黑芝麻、柏子仁。
這三味藥有一個共同的特點,那(nei)就是(shi)補(bu)腎(shen)(shen),強壯(zhuang)我們(men)的先天之本(ben)。腎(shen)(shen)主藏精(jing),芡(qian)實可以(yi)(yi)加強腎(shen)(shen)的藏精(jing)功能,芡(qian)實是(shi)水(shui)八仙之一,本(ben)身還可以(yi)(yi)祛(qu)濕(shi),如果有一味藥既可以(yi)(yi)補(bu)腎(shen)(shen)還能化(hua)(hua)解痰濕(shi),那(nei)么(me)非芡(qian)實莫屬;黑(hei)芝麻(ma)補(bu)腎(shen)(shen)又健脾(pi),屬 養生 上品,久(jiu)服烏發(fa)明目,讓人精(jing)力(li)充(chong)沛,身輕(qing)如燕,延年益壽(shou)。這里黑(hei)芝麻(ma)就是(shi)補(bu)腎(shen)(shen)精(jing),腎(shen)(shen)精(jing)足了,可以(yi)(yi)化(hua)(hua)為陰(yin)(yin)陽(yang)二氣(qi),所以(yi)(yi)黑(hei)芝麻(ma)既可以(yi)(yi)補(bu)腎(shen)(shen)陰(yin)(yin)又可以(yi)(yi)補(bu)腎(shen)(shen)陽(yang),陰(yin)(yin)陽(yang)同補(bu)。
最后(hou)這(zhe)(zhe)個柏子(zi)仁,也是補腎的,還可以(yi)(yi)養血滋(zi)陰,柏子(zi)仁還有一股(gu)潤滑之(zhi)性,可以(yi)(yi)讓大(da)腸津(jin)液(ye)充足,腸道潤滑,大(da)便通暢,這(zhe)(zhe)樣身(shen)體(ti)的痰又可以(yi)(yi)隨(sui)著大(da)便排出去。
所以此方妙處在于(yu),痰化(hua)掉后(hou)不(bu)留(liu)在身(shen)體里面,還(huan)得讓它從(cong)大(da)小便排出去了(le)。
如(ru)此一來,痰(tan)濕也(ye)祛了,脾腎之(zhi)根本也(ye)補(bu)了!耳(er)竅經脈氣機通暢,濡養恢復(fu),耳(er)鳴(ming)自(zi)然消失了。所以如(ru)果你(ni)也(ye)是痰(tan)多,耳(er)鳴(ming)、耳(er)聾久治不愈,不妨可以試(shi)一試(shi)新的思路(lu)。
痰與濕
要說痰,先說濕。濕氣是我們攝入的水(shui)分,身(shen)體因為(wei)(wei)某(mou)些原因,無法全部運化(hua),無法排出,結果潴留(liu)在體內,成為(wei)(wei)了影響(xiang)氣血運行的障礙(ai),也就(jiu)是我們平常(chang)說的濕邪。
說完了濕,再說痰,而中醫說的痰,有 “有形之痰”和“無形之痰” 的區別。
有形和無形
所謂有形之痰,主要存在于肺 ,可能是自身水液代謝障礙所產生,也可能是外界邪氣侵襲肺部所產生,這種痰產生后,可以通過咳嗽排出體外, 能被觀察到 ,因此比(bi)(bi)較(jiao)好理解。我(wo)們(men)對“有(you)形(xing)之痰”應該是比(bi)(bi)較(jiao)熟悉的(de),在感冒咳嗽(sou)的(de)時候常會接觸到它(ta),只不過在性狀(zhuang)上存在著各種各樣的(de)差異,比(bi)(bi)如有(you)質地不同的(de)、有(you)顏(yan)色不一的(de)。
而無形之痰,指的是那種體內黏稠的病理性的液體,比如 水濕凝聚,逐漸凝練成的痰 ,或者整天肥甘厚味地吃, 營養過盛,導致代謝產物潴留而形成的痰。
01痰濕有什么特征呢?
那“無形之痰”能不能看見呢?也是可以的,而且這些特征也可作為鑒別 痰濕體質 的特征。
特征
一般來說 “肥人多痰濕” ,就是(shi)指(zhi)肥胖(pang)的(de)人(ren)體(ti)內多有“無形之痰”存在(zai)(zai),“痰”具有的(de)穢濁、黏(nian)滯(zhi)、稠厚的(de)特(te)性,它(ta)是(shi)積(ji)聚在(zai)(zai)體(ti)內的(de)水濕中的(de)穢蝕部分凝(ning)聚而成,這(zhe)些東西在(zai)(zai)體(ti)內累積(ji),很容(rong)易就會導致人(ren)肥胖(pang)。
還有 厚膩的舌苔 ,這是體內水濕穢濁過多最直觀的表現。 有些人還會起一些腫塊 ,凡是腫塊顏色不紅,突起于皮(pi)膚表面,呈結節狀,按之軟或韌。內含水(shui)液(ye)、黏液(ye)或黏胨(dong)樣物質的,在中(zhong)醫上都稱為“痰塊”。
脈滑 ,這個如果不是專門學習中醫的話,其實不太好分別,因為中醫按脈象在指下的不同感覺,可以將其分為二十多種,滑脈就是其中之一。中醫對滑脈的描述是 “往來流利,如珠走盤” ,就是指我們摸到的(de)脈象(xiang)就像是珠(zhu)子在光滑(hua)的(de)盤子上(shang)滾動這么流利迅捷,滑(hua)脈的(de)出現(xian)是體內有(you)痰(tan)濁的(de)特(te)征性表(biao)現(xian)之一,也是中醫診斷(duan)“痰(tan)”的(de)主(zhu)要依據之一。
除此之外,還可(ke)表(biao)現為口中粘(zhan)膩(ni),口唇色淡(dan),很少(shao)感(gan)覺(jue)口渴,不想喝水。容易(yi)(yi)出汗,汗粘(zhan)膩(ni),汗出后皮膚(fu)多(duo)(duo)涼,頭(tou)身重困(kun),經常感(gan)覺(jue)頭(tou)昏昏沉沉,關(guan)節(jie)疼(teng)痛重著、肌膚(fu)麻木(mu),易(yi)(yi)出現耳鳴(ming)。身體酸乏(fa)無力,慵懶(lan),容易(yi)(yi)困(kun)倦。胸悶,痰多(duo)(duo),容易(yi)(yi)出現腸(chang)胃(wei)不適,喜歡吃肥甘厚味。大便(bian)次數多(duo)(duo),不成形(xing),容易(yi)(yi)粘(zhan)馬桶,小(xiao)便(bian)渾(hun)濁等。
02痰濕是怎么形成的?
這里再提一句(ju),濕(shi)(shi)氣重(zhong)了,會導(dao)(dao)致(zhi)痰(tan)的(de)增加,而痰(tan)的(de)出(chu)現(xian),又會導(dao)(dao)致(zhi)濕(shi)(shi)氣更重(zhong)。而痰(tan)濕(shi)(shi)結(jie)合,則雪(xue)上加霜(shuang)。所以,我們常(chang)說痰(tan)濕(shi)(shi)體(ti)(ti)質,而不是痰(tan)體(ti)(ti)質也不是濕(shi)(shi)體(ti)(ti)質,是因為這兩者聯系緊(jin)密(mi)。那么,痰(tan)濕(shi)(shi)體(ti)(ti)質又是怎(zen)么形成的(de)呢?
最多的原因就是吃出來的。 每一個人的脾胃運化能力是有限的,打個比方,您的脾胃一頓就能運化二兩蔬菜三兩肉,外加一碗大米飯,這時候您偏要再來一份麻辣燙,一開始吃的那些被運化吸收了,而剩下的這一份麻辣燙,脾胃運化不了就會形成痰。當然,也有天賦異稟的,人家就是能吃,脾胃就是能運化,但是 吃進去太多肥甘厚膩的食物也容易生痰濕 ,您(nin)有沒有感(gan)覺(jue)(jue)到(dao)有時候吃完油膩(ni)的食物(wu)感(gan)覺(jue)(jue)能(neng)咯(ge)出(chu)一大口(kou)痰,哎,對了,這就(jiu)是肥甘(gan)厚膩(ni)易生痰的佐(zuo)證。
還有 寒 ,這個(ge)比較好理解,把(ba)身(shen)體里面(mian)的津液想象(xiang)(xiang)成河(he)流(liu)(liu),可別想象(xiang)(xiang)成大海,那就(jiu)太嚴重了(le),等到天氣寒(han)冷(leng)的時(shi)候,河(he)流(liu)(liu)就(jiu)會(hui)凝結在一(yi)塊,在體內就(jiu)會(hui)形成痰(tan)濕。像有(you)的人吹完空調痰(tan)就(jiu)很(hen)(hen)多(duo),有(you)的人喝完冷(leng)飲(yin)痰(tan)很(hen)(hen)多(duo),或者吃完水果也會(hui)有(you)很(hen)(hen)多(duo)痰(tan),就(jiu)是這個(ge)原(yuan)因。
當然,太熱也不行,本來我們的肺是沒有痰的,有很多津液,但 這些津液被熱烤干了,于是津液就變得黏稠起來,就形成了痰 。那舉個不恰當的例子,你們可不要在留言的時候罵我,其實熱能生痰用四個字就能概括,做飯的都知道, 大火收汁兒!
03得想辦法解決這個痰濕!
“肺為貯痰之器,脾為生痰之源”,這句話有點膾炙人口了,其實這話最初載于《證治匯補·痰證》,是清代醫家的經驗總結。然而這句話的雛形,是出現在《黃帝內經》當中。《素問·咳論》里面明確講到:“此皆聚于胃,關于肺,使人多涕唾,而面浮腫氣逆也”。這些話都在告訴我們, 脾氣虛弱,不能運化,導致的痰濕,會上泛于肺。
為什么不去別地方,非得去肺里貯存著呢?這里面的原因很簡單,脾屬土,肺屬金,脾土能生肺金,脾土為母,肺金為子。俗話說父債子償,母臟有病,往往會傳導給子臟。這就是所謂的 “母病及子” 了。
|這方子不錯|
這是我截取了一(yi)段,后面還(huan)有(you)(you)一(yi)段,大家有(you)(you)興趣可以去查查看。那么這段說了什么意(yi)思(si)呢(ni)?
就是說 二陳湯好是好,但是只能治痰的標,沒法治療痰的本。 其實, 痰的本源是在于腎的 ,這是因(yin)為,腎(shen)主(zhu)閉藏,就是說腎(shen)可(ke)以控制這個膀(bang)(bang)胱,讓尿(niao)液(ye)正常(chang)的(de)儲存和排(pai)泄,但如果(guo)腎(shen)氣不(bu)充足了,膀(bang)(bang)胱沒辦法(fa)把脾胃之(zhi)中(zhong)的(de)水(shui)液(ye)吸(xi)引(yin)到(dao)膀(bang)(bang)胱中(zhong)形成尿(niao)液(ye),自然,水(shui)液(ye)就會在脾胃之(zhi)中(zhong)形成痰濕。
哎(ai),您聽(ting)了是(shi)不是(shi)感覺有(you)那(nei)么點道(dao)理(li)(li)?其實(shi),您覺得有(you)點道(dao)理(li)(li)就行,學(xue)術這個東西本無(wu)絕對(dui)的對(dui)錯,重要(yao)的是(shi)探究的心(xin)理(li)(li),這點要(yao)向張錫純老(lao)先生學(xue)習,敢于向“治痰之總劑(ji)”發起(qi)挑戰(zhan),實(shi)屬(shu)我等之楷模!
言歸(gui)正(zheng)傳(chuan),那腎中之痰怎么祛除(chu)呢?
大家也能看出來,雖然張錫純老先生批斗歸批斗,但理痰湯還是有二陳湯的影子,也就是說 理痰湯是二陳湯加減而來。
這里有幾(ji)個點(dian)和大家說(shuo)一下,為什么把芡實(shi)放在了第一位,而且用量很大,甚至遠遠超過了化(hua)痰的半夏(xia)。
這(zhe)是因(yin)為(wei)芡實可(ke)以補(bu),不光能(neng)補(bu)腎(shen)(shen)精,還能(neng)補(bu)漏(lou)洞。這(zhe)樣一(yi)來,原有的(de)精氣(qi)不會再往外(wai)漏(lou),補(bu)進去(qu)的(de)精氣(qi)也能(neng)收的(de)住(zhu)。從(cong)另一(yi)個角度來講,腎(shen)(shen)氣(qi)充盈也能(neng)及時地(di)把一(yi)些痰濕水(shui)飲氣(qi)化(hua)掉(diao)。另外(wai),芡實在入(ru)腎(shen)(shen)之余還可(ke)以入(ru)脾,《本(ben)草經(jing)百種錄》說它是“脾腎(shen)(shen)之藥也”,《本(ben)草從(cong)新》說它能(neng)“補(bu)脾固精”。
然(ran)后,增加了滋(zi)陰潤(run)(run)(run)燥的黑芝麻、柏子仁。半夏雖(sui)然(ran)是(shi)(shi)化痰(tan)(tan)良藥,但(dan)是(shi)(shi)半夏藥性(xing)偏溫偏燥,容(rong)易上火。黑芝麻和柏子仁都(dou)是(shi)(shi)植物的種仁,種仁類藥含(han)有很多油脂,具有一定(ding)的甘潤(run)(run)(run)滋(zi)養(yang)之(zhi)性(xing),可以(yi)牽制半夏的溫燥,還(huan)能潤(run)(run)(run)腸,可以(yi)把痰(tan)(tan)濕(shi)通(tong)過大便排出去。
黑芝(zhi)麻和柏子仁還有補腎的作用(yong),能幫助芡實補養腎中精氣。其(qi)次,白芍和茯苓可以(yi)利尿,可以(yi)把痰濕導(dao)入膀胱,通(tong)過小便排出去。最后,陳皮收斂肺氣,讓(rang)肺氣下(xia)降,讓(rang)水之上源向下(xia)走,變成人的真(zhen)陰、真(zhen)液。
這個方子適用于頑固性的痰濕 ,比如您用溫膽湯的效果不太好,或者痰濕問題反復出現,那就可以試試理痰湯, 這個方子同樣也是可以泡腳的 。
除了(le)可(ke)以(yi)調理痰濕體(ti)質這類問題(ti),如(ru)果是(shi)痰濕導致的胸膈滿悶(men),喘促咳嗽,心(xin)悸,胃(wei)脹呃逆,肢體(ti)麻木、偏枯,關節屈伸不利,眩暈等等也是(shi)可(ke)以(yi)使用的,只(zhi)要是(shi)和痰濕有關的,就都可(ke)以(yi)試(shi)試(shi)。
食(shi)療其實不用我多說(shuo),上面那些選幾樣做(zuo)成菜(cai)就(jiu)可以了,像(xiang)山藥冬(dong)瓜湯、白菜(cai)蘿卜湯等等,如果饞的話(hua),可以做(zuo)成蘿卜絲(si)餡(xian)餅或者蘿卜絲(si)丸(wan)子(zi),丸(wan)子(zi)盡量不要(yao)油炸(zha),最好(hao)用空氣炸(zha)鍋,這樣可以避(bi)免肥甘厚膩(ni)。
怕大家實(shi)在是不知道如何選擇,這里簡單推薦兩(liang)個。
薏苡仁粥:
好了(le),以上就(jiu)是本篇的全部內容。
今天給各位分享二陳湯的功效與作用的知識,其中也會對二陳湯的功效與作用和適用人群進行解釋,如果能碰巧解決你現在面臨的問題,別忘了收藏本站,現在開始吧!
本文目錄一覽:1、二陳湯的功效與作用2、張仲景二陳湯的配方是什么?3、二陳湯的功效二陳湯有什么功效4、二陳湯的功效與作用二陳湯的功效與作用簡述5、二陳湯的配方是什么?6、二陳湯有什么作用二陳湯的功效與作用二陳湯的功效與作用
1.調理脾胃、緩解嘔吐
2.化痰止咳
3.提高人體免疫力
二陳湯對提高人體免疫力也有一定的好處,因為二陳湯中含有的一些活性成分,能促進人體內細胞分裂和產生,并能提高人體內免疫細胞的活性,加快人體內淋巴細胞分裂,它能讓人體自身抗病能力明顯提高,生活中那些免疫力低下和體質虛弱的人群,也可以適量服用一些二陳湯。
二陳湯的禁忌
臨床以咳嗽,痰多色白,苔白潤、脈滑為辯證要點。
現代運用本方常用于慢性支氣管炎、慢性胃炎、梅尼埃病、神經性嘔吐等屬濕熱者。
使用注意因本方性燥,故燥痰者慎用;吐血、消渴、陰虛、血虛者忌用本方。
張仲景二陳湯的配方是什么?二陳湯的組成是半夏15g、橘紅15g、白茯苓9g、炙甘草4.5g、生姜7片、烏梅1枚。
二陳湯是出自中醫經典古籍《太平惠民和劑局方》的濕痰證基礎方,重在治脾以消痰,燥化之中有行運之法,臨床應用廣泛。
方藥:制半夏、橘紅各9克,茯苓6克,炙甘草3克。
用法:加生姜3克,烏梅1枚,水煎服。
功效:燥濕健脾、化痰止咳、理氣和中。
加減化裁
治濕痰,可加蒼術、厚樸以增燥濕化痰之力;治熱痰,可加膽星、瓜蔞以清熱化痰;治寒痰,可加干姜、細辛以溫化寒痰;治風痰眩暈,可加天麻、僵蠶以化痰熄風;治食痰,可加萊菔子、麥芽以消食化痰;治郁痰,可加香附、青皮、郁金以解郁化痰;治痰流經絡之瘰疬、痰核,可加海藻、昆布、牡蠣以軟堅化痰。
以上內容參考:-二陳湯
二陳湯的功效二陳湯有什么功效1、二陳湯是益氣健脾、化痰利濕最基礎的中藥方劑,有許多健脾化痰、利濕調中的中藥方劑都是從二陳湯化裁而來,比如溫膽湯、黃連溫膽湯、七味白術湯等等。
2、二陳湯的組成包括陳皮、半夏、茯苓、甘草,陳皮能夠健脾調中,甘草益氣、補中補虛、解毒,半夏燥濕化痰、降逆止嘔、消痞散結、消腫止痛,茯苓能夠健脾化濕、安神,四藥相配伍,起到健脾益氣、和中的作用。
3、如果睡眠不好,可以再加上枳實、竹茹,能夠溫膽,這就變成溫膽湯。
再加上黃連就變成黃連溫膽湯,能夠調節植物神經功能紊亂或者睡眠障礙等等,根據不同的體質用二陳湯進行加減化裁。
二陳湯的功效與作用二陳湯的功效與作用簡述1、二陳湯主要由半夏,橘紅,白茯苓,甘草以及生姜七片,烏梅一個等藥味組成,是一種經典的燥濕化痰方藥。
2、二陳湯具有燥濕化痰,理氣和中的功效作用,臨床上主要用于濕痰咳嗽,痰色白易咯出,胸膈痞悶,惡心嘔吐,肢體倦怠或頭暈心悸,舌苔白潤,脈滑等病癥的治療。
3、二陳湯是治療痰濕經典方劑,方中半夏能夠燥濕化痰又能降逆和胃,為君藥;橘紅理氣燥濕祛痰,助半夏化痰之力,理氣可使氣順則痰消,是臣藥;佐以茯苓健脾滲濕,生姜降逆化飲,而且能夠制半夏之毒。
全方共奏燥濕化痰,理氣和中的功效作用。
二陳湯的配方是什么?二陳湯,中醫方劑名。
為祛痰劑,具有燥濕化痰,理氣和中之功效。
主治濕痰證。
咳嗽痰多,色白易咯,惡心嘔吐,胸膈痞悶,肢體困重,或頭眩心悸,舌苔白滑或膩,脈滑。
臨床常用于治療慢性支氣管炎、慢性胃炎、梅尼埃病、神經性嘔吐等屬濕痰者。
配方:半夏湯洗七次、橘紅各五兩(各15g),白茯苓三兩(9g),甘草炙一兩半(4.5g)。
用法:上藥?咀,每服12g,用水一盞,生姜七片,烏梅一個,同煎六分,去滓,熱服,不拘時候。
現代用法:加生姜7片,烏梅1個,水煎溫服。
原理:
本方證多由脾失健運,濕無以化,濕聚成痰,郁積而成。
濕痰為病,犯肺致肺失宣降,則咳嗽痰多;停胃令胃失和降,則惡心嘔吐;阻于胸膈,氣機不暢,則感痞悶不舒;留注肌肉,則肢體困重;阻遏清陽,則頭目眩暈;痰濁凌心,則為心悸。
治宜燥濕化痰,理氣和中。
方中半夏辛溫性燥,善能燥濕化痰,且又和胃降逆,為君藥。
橘紅為臣,既可理氣行滯,又能燥濕化痰。
君臣相配,寓意有二:一為等量合用,不僅相輔相成,增強燥濕化痰之力,而且體現治痰先理氣,氣順則痰消之意;二為半夏、橘紅皆以陳久者良,而無過燥之弊,故方名“二陳”。
此為本方燥濕化痰的基本結構。
佐以茯苓健脾滲濕,滲濕以助化痰之力,健脾以杜生痰之源。
鑒于橘紅、茯苓是針對痰因氣滯和生痰之源而設,故二藥為祛痰劑中理氣化痰、健脾滲濕的常用組合。
煎加生姜,既能制半夏之毒,又能協助半夏化痰降逆、和胃止嘔;復用少許烏梅,收斂肺氣,與半夏、橘紅相伍,散中兼收,防其燥散傷正之虞,均為佐藥。
以甘草為佐使,健脾和中,調和諸藥。
擴展資料:
燥濕化痰的其他中藥方子:
導痰湯
組成:半夏(湯洗七次)120g,天南星(細切,姜汁浸)、枳實(去瓤)、橘紅、赤茯苓各30g。
用法:上為粗末。
每服9g,水二盞,生姜十片,煎至一盞,去滓,食后溫服。
現代用法:加生姜4片,水煎服,用量按原方比例酌減。
功用:燥濕祛痰,行氣開郁。
主治:痰厥證。
頭目眩暈,或痰飲壅盛,胸膈痞塞,脅肋脹滿,頭痛嘔逆,喘急痰嗽,涕唾稠粘,舌苔厚膩,脈滑。
滌痰湯
組成:南星(姜制)、半夏(湯洗七次)各7.5g,枳實(麩炒)、茯苓(去皮)各6g,橘紅4.5g,石菖蒲、人參各3g,竹茹2g,甘草1.5g。
用法:上作一服。
水二盅,生姜五片,煎至一盅,食后服。
現代用法:加生姜3片,水煎服。
功用:滌痰開竅。
主治:中風痰迷心竅證。
舌強不能言,喉中痰鳴,轆轆有聲,舌苔白膩,脈沉滑或沉緩。
金水六君煎
組成:熟地9-15g,陳皮4.5g,當歸、半夏、茯苓各6g,炙甘草3g。
用法:水二盅,生姜三五七片,煎七八分,食遠溫服。
功用:滋養肺腎,祛濕化痰。
主治:肺腎陰虛,濕痰內盛證。
咳嗽嘔惡,喘急痰多,痰帶咸味,或咽干口燥,自覺口咸,舌質紅,苔白滑或薄膩。
三種藥方之間的鑒別
以上三方皆由二陳湯化裁而成,均有燥濕化痰之功。
導痰湯是二陳湯去烏梅、甘草,加天南星、枳實而成。
天南星增半夏燥濕化痰之力,枳實助橘紅理氣化痰之功,故燥濕化痰行氣之力較二陳湯為著,主治痰濁內阻、氣機不暢之痰厥等證。
滌痰湯又在導痰湯基礎上加石菖蒲、竹茹、人參、甘草,較之導痰湯又多開竅扶正之功,常用治中風痰迷心竅、舌強不能言。
金水六君煎是二陳湯去烏梅,加熟地、當歸滋陰養血,肺腎并調,金水相生,故適用于年邁者肺腎陰虛、濕痰內盛之證。
以上內容參考人民網-祛痰邪,兩穴配一湯
二陳湯有什么作用二陳湯主要由法半夏、陳皮、茯苓、甘草組成,主要有燥濕化痰、理氣和中的功效,主治痰濕中阻、脾胃不和之類疾病,符合應用二陳湯治療的病癥則叫二陳湯證。
而若二陳湯證合并其他病癥,則通過辨證在二陳湯的基礎上進行藥物的種類、分量等方面的改變,由于用藥及用量發生改變,有加有減所以就叫做加減二陳湯。
是藥都有三分毒,任何中藥都需要醫師通過辨證才能進食,不然適得其反。
不知可否幫到你。
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